<?php
include ("header1.php");
?>

<table border="0"  cellspacing="3" cellpadding="2" class="content" width="960px" align="left">

 <tr> 



	 

<td colspan="3" align="center" bgcolor="#CCCCCC" class="font_size" class="font">

<strong>Welcome to our glossary management system</strong><br>

</td>
<tr>

 <td align="right" bgcolor="#D3DDFF" class="font">First Name :</td>

   <td  bgcolor="#B9C7C8"><input type="text" name="username" maxlength=30 size="30" value=""></td> </tr>

 <tr>

  <td  align="right" bgcolor="#D3DDFF" class="font">Last Name :</td>

  <td  bgcolor="#B9C7C8"><input type="text" name="nickname" maxlength="20" size="30" value=""></td>

 </tr>

<tr>

  <td  align="right" bgcolor="#D3DDFF" class="font">Gender :</td>

  <td  bgcolor="#B9C7C8"><input name="gender" type="radio" value="Male" > Male  &nbsp;&nbsp; &nbsp;<input type="radio" name="gender" value="Female" > Female
  </td>

 </tr>
 
 <tr>

  <td  align="right" bgcolor="#D3DDFF" class="font">Birth of date:</td>

<td  bgcolor="#B9C7C8"><select name="t" value="">

                                                                      <option></option>

																	   <option value="01" >01</option><option value="02" >02</option><option value="03" >03</option><option value="04" >04</option><option value="05" >05</option><option value="06" >06</option><option value="07" >07</option><option value="08" >08</option><option value="09" >09</option><option value="10" >10</option><option value="11" >11</option><option value="12" >12</option><option value="13" >13</option><option value="14" >14</option><option value="15" >15</option><option value="16" >16</option><option value="17" >17</option><option value="18" >18</option><option value="19" >19</option><option value="20" >20</option><option value="21" >21</option><option value="22" >22</option><option value="23" >23</option><option value="24" >24</option><option value="25" >25</option><option value="26" >26</option><option value="27" >27</option><option value="28" >28</option><option value="29" >29</option><option value="30" >30</option><option value="31" >31</option>                                                                        </select>.

                                                                        <select name="m" value="">

                                                                        <option></option>

																		<option value="1" >1</option><option value="2" >2</option><option value="3" >3</option><option value="4" >4</option><option value="5" >5</option><option value="6" >6</option><option value="7" >7</option><option value="8" >8</option><option value="9" >9</option><option value="10" >10</option><option value="11" >11</option><option value="12" >12</option>                                                                        </select>.<select name="j" value="">

                                                                        <option></option>

						<option value="2011" >2011</option><option value="2010" >2010</option><option value="2009" >2009</option><option value="2008" >2008</option><option value="2007" >2007</option><option value="2006" >2006</option><option value="2005" >2005</option><option value="2004" >2004</option><option value="2003" >2003</option><option value="2002" >2002</option><option value="2001" >2001</option><option value="2000" >2000</option><option value="1999" >1999</option><option value="1998" >1998</option><option value="1997" >1997</option><option value="1996" >1996</option><option value="1995" >1995</option><option value="1994" >1994</option><option value="1993" >1993</option><option value="1992" >1992</option><option value="1991" >1991</option><option value="1990" >1990</option><option value="1989" >1989</option><option value="1988" >1988</option><option value="1987" >1987</option><option value="1986" >1986</option><option value="1985" >1985</option><option value="1984" >1984</option><option value="1983" >1983</option><option value="1982" >1982</option><option value="1981" >1981</option><option value="1980" >1980</option><option value="1979" >1979</option><option value="1978" >1978</option><option value="1977" >1977</option><option value="1976" >1976</option><option value="1975" >1975</option><option value="1974" >1974</option><option value="1973" >1973</option><option value="1972" >1972</option><option value="1971" >1971</option><option value="1970" >1970</option><option value="1969" >1969</option><option value="1968" >1968</option><option value="1967" >1967</option><option value="1966" >1966</option><option value="1965" >1965</option><option value="1964" >1964</option><option value="1963" >1963</option><option value="1962" >1962</option><option value="1961" >1961</option><option value="1960" >1960</option><option value="1959" >1959</option><option value="1958" >1958</option><option value="1957" >1957</option></select></nobr>

</td>

 </tr>


 <tr>

  <td  align="right" bgcolor="#D3DDFF" class="font">EMail :</td>

  <td  bgcolor="#B9C7C8"><input type="email" name="email" size="30" value=""></td>

 </tr>


 <tr>

  <td  align="right" bgcolor="#D3DDFF" valign="top" class="font">Password:</td> 

 <td  bgcolor="#B9C7C8" colspan="2">
 

 <input type="password" name="password" size="30"></td></tr>

 <tr><td  align="right" bgcolor="#D3DDFF" valign="top" class="font"> Confirm Password: </td><td bgcolor="#B9C7C8"><input type="password" name="confirm_password" size="30"></td>

 </tr>
  <tr>

      <td align="right" bgcolor="#D3DDFF" valign="top" class="font">Country :</td>

      <td  bgcolor="#B9C7C8">

	  <select name="land"><option></option>

 <option value="1" >Afghanistan</option><option value="2" >Albania</option><option value="3" >Algeria</option><option value="4" >American Samoa</option><option value="5" >Andorra</option><option value="6" >Angola</option><option value="7" >Anguilla</option><option value="8" >Antarctica</option><option value="9" >Antigua and Barbuda</option><option value="10" >Argentina</option><option value="11" >Armenia</option><option value="12" >Aruba</option><option value="13" >Australia</option><option value="14" >Austria</option><option value="15" >Azerbaijan</option><option value="16" >Bahamas</option><option value="17" >Bahrain</option><option value="18" >Bangladesh</option><option value="19" >Barbados</option><option value="20" >Belarus</option><option value="21" >Belgium</option><option value="22" >Belize</option><option value="23" >Benin</option><option value="24" >Bermuda</option><option value="25" >Bhutan</option><option value="26" >Bolivia</option><option value="27" >Bosnia and Herzegovina</option><option value="28" >Botswana</option><option value="29" >Bouvet Island</option><option value="30" >Brazil</option><option value="31" >British Indian Ocean Territory</option><option value="32" >Brunei</option><option value="33" >Bulgaria</option><option value="34" >Burkina Faso</option><option value="35" >Burundi</option><option value="52" >C?te d'Ivoire</option><option value="36" >Cambodia</option><option value="37" >Cameroon</option><option value="38" >Canada</option><option value="39" >Cape Verde</option><option value="40" >Cayman Islands</option><option value="41" >Central African Republic</option><option value="42" >Chad</option><option value="43" >Chile</option><option value="44" >China</option><option value="45" >Christmas Island</option><option value="46" >Cocos (Keeling) Islands</option><option value="47" >Colombia</option><option value="48" >Comoros</option><option value="49" >Congo</option><option value="57" >Congo (DRC)</option><option value="50" >Cook Islands</option><option value="51" >Costa Rica</option><option value="53" >Croatia (Hrvatska)</option><option value="54" >Cuba</option><option value="55" >Cyprus</option><option value="56" >Czech Republic</option><option value="58" >Denmark</option><option value="59" >Djibouti</option><option value="60" >Dominica</option><option value="61" >Dominican Republic</option><option value="62" >East Timor</option><option value="63" >Ecuador</option><option value="64" >Egypt</option><option value="65" >El Salvador</option><option value="66" >Equatorial Guinea</option><option value="67" >Eritrea</option><option value="68" >Estonia</option><option value="69" >Ethiopia</option><option value="70" >Falkland Islands (Islas Malvinas)</option><option value="71" >Faroe Islands</option><option value="72" >Fiji Islands</option><option value="73" >Finland</option><option value="74" >France</option><option value="75" >French Guiana</option><option value="76" >French Polynesia</option><option value="77" >French Southern and Antarctic Lands</option><option value="78" >Gabon</option><option value="79" >Gambia</option><option value="80" >Georgia</option><option value="81" >Germany</option><option value="82" >Ghana</option><option value="83" >Gibraltar</option><option value="84" >Greece</option><option value="85" >Greenland</option><option value="86" >Grenada</option><option value="87" >Guadeloupe</option><option value="88" >Guam</option><option value="89" >Guatemala</option><option value="90" >Guinea</option><option value="91" >Guinea-Bissau</option><option value="92" >Guyana</option><option value="93" >Haiti</option><option value="94" >Heard Island and McDonald Islands</option><option value="95" >Honduras</option><option value="96" >Hong Kong SAR</option><option value="97" >Hungary</option><option value="98" >Iceland</option><option value="99" >India</option><option value="100" >Indonesia</option><option value="101" >Iran</option><option value="102" >Iraq</option><option value="103" >Ireland</option><option value="104" >Israel</option><option value="105" >Italy</option><option value="106" >Jamaica</option><option value="107" >Japan</option><option value="108" >Jordan</option><option value="109" >Kazakhstan</option><option value="110" >Kenya</option><option value="111" >Kiribati</option><option value="112" >Korea</option><option value="113" >Kuwait</option><option value="114" >Kyrgyzstan</option><option value="115" >Laos</option><option value="116" >Latvia</option><option value="117" >Lebanon</option><option value="118" >Lesotho</option><option value="119" >Liberia</option><option value="120" >Libya</option><option value="121" >Liechtenstein</option><option value="122" >Lithuania</option><option value="123" >Luxembourg</option><option value="124" >Macao SAR</option><option value="125" >Macedonia</option><option value="126" >Madagascar</option><option value="127" >Malawi</option><option value="128" >Malaysia</option><option value="129" >Maldives</option><option value="130" >Mali</option><option value="131" >Malta</option><option value="132" >Marshall Islands</option><option value="133" >Martinique</option><option value="134" >Mauritania</option><option value="135" >Mauritius</option><option value="136" >Mayotte</option><option value="137" >Mexico</option><option value="138" >Micronesia</option><option value="139" >Moldova</option><option value="140" >Monaco</option><option value="141" >Mongolia</option><option value="142" >Montserrat</option><option value="143" >Morocco</option><option value="144" >Mozambique</option><option value="145" >Myanmar</option><option value="146" >Namibia</option><option value="147" >Nauru</option><option value="148" >Nepal</option><option value="149" >Netherlands</option><option value="150" >Netherlands Antilles</option><option value="151" >New Caledonia</option><option value="152" >New Zealand</option><option value="153" >Nicaragua</option><option value="154" >Niger</option><option value="155" >Nigeria</option><option value="156" >Niue</option><option value="157" >Norfolk Island</option><option value="158" >North Korea</option><option value="159" >Northern Mariana Islands</option><option value="160" >Norway</option><option value="161" >Oman</option><option value="162" >Pakistan</option><option value="163" >Palau</option><option value="164" >Panama</option><option value="165" >Papua New Guinea</option><option value="166" >Paraguay</option><option value="167" >Peru</option><option value="168" >Philippines</option><option value="169" >Pitcairn Islands</option><option value="170" >Poland</option><option value="171" >Portugal</option><option value="172" >Puerto Rico</option><option value="173" >Qatar</option><option value="174" >Reunion</option><option value="175" >Romania</option><option value="176" >Russia</option><option value="177" >Rwanda</option><option value="184" >S?o Tom? and Pr?ncipe</option><option value="181" >Samoa</option><option value="182" >San Marino</option><option value="185" >Saudi Arabia</option><option value="186" >Senegal</option><option value="183" >Serbia and Montenegro</option><option value="187" >Seychelles</option><option value="188" >Sierra Leone</option><option value="189" >Singapore</option><option value="190" >Slovakia</option><option value="191" >Slovenia</option><option value="192" >Solomon Islands</option><option value="193" >Somalia</option><option value="194" >South Africa</option><option value="195" >South Georgia</option><option value="196" >Spain</option><option value="197" >Sri Lanka</option><option value="198" >St. Helena</option><option value="178" >St. Kitts and Nevis</option><option value="179" >St. Lucia</option><option value="199" >St. Pierre and Miquelon</option><option value="180" >St. Vincent and the Grenadines</option><option value="200" >Sudan</option><option value="201" >Suriname</option><option value="202" >Svalbard and Jan Mayen</option><option value="203" >Swaziland</option><option value="204" >Sweden</option><option value="205" >Switzerland</option><option value="206" >Syria</option><option value="207" >Taiwan</option><option value="208" >Tajikistan</option><option value="209" >Tanzania</option><option value="210" >Thailand</option><option value="211" >Togo</option><option value="212" >Tokelau</option><option value="213" >Tonga</option><option value="214" >Trinidad and Tobago</option><option value="215" >Tunisia</option><option value="216" >Turkey</option><option value="217" >Turkmenistan</option><option value="218" >Turks and Caicos Islands</option><option value="219" >Tuvalu</option><option value="220" >Uganda</option><option value="221" >Ukraine</option><option value="222" >United Arab Emirates</option><option value="223" >United Kingdom</option><option value="224" >United States</option><option value="225" >United States Minor Outlying Islands</option><option value="226" >Uruguay</option><option value="227" >Uzbekistan</option><option value="228" >Vanuatu</option><option value="229" >Vatican City</option><option value="230" >Venezuela</option><option value="231" >Viet Nam</option><option value="233" >Virgin Islands</option><option value="232" >Virgin Islands (British)</option><option value="234" >Wallis and Futuna</option><option value="235" >Yemen</option><option value="236" >Zambia</option><option value="237" >Zimbabwe</option>		

	</select>

	  </td>

     </tr>

 <tr>
  <td  align="right" bgcolor="#D3DDFF" class="font">Language:</td>
  <td  bgcolor="#B9C7C8" >
  <select name ="Language">
  	<option value="">Tamil</option>
    <option value="r" >English</option>
	<option value="rw" >Both</option>
   </select>
   
</td></tr>

  <tr>

  <td  align="right" bgcolor="#D3DDFF"  class="font">Qualification:</td>

  <td   bgcolor="#B9C7C8"><input type="text" name="skype" size="40" value="" maxlength="50"></td>

 </tr>


 

 <tr>

  <td  align="right" bgcolor="#D3DDFF" class="font">Web Address :</td>

  <td  bgcolor="#B9C7C8"><input type="url" name="Webpage" size="40" value=""></td>

 </tr>

<td  align="right" bgcolor="#D3DDFF" class="font">linked In :</td>

  <td  bgcolor="#B9C7C8"><input type="url" name="Linked_in" size="40" value=""></td>

 </tr>

 

 <tr>

  <td  align="right" bgcolor="#D3DDFF"  class="font">Skype Id:</td>

  <td   bgcolor="#B9C7C8"><input type="text" name="skype" size="40" value="" maxlength="50"></td>

 </tr>

 
 <tr>

  <td  align="right" bgcolor="#D3DDFF" valign="top" class="font">Sort Bio:</td>

  <td  bgcolor="#B9C7C8" colspan="2"><textarea cols="50" rows="10" name="Bio"></textarea></td>

 </tr>

 

 


<tr><td bgcolor="#D3DDFF"></td>
<td align="left" valign="top"  bgcolor="#B9C7C8"> <img border="0" height="75" src="Capture.JPG"> <a href="">next</a></td>

	</tr>

	<tr>
	<td align=right bgcolor="#B5C6FF" class="font">Type The Code:</td> 
<td bgcolor="#B9C7C8" ><input type="text" name="skype" size="40" value="" maxlength="50"></td>
	
 </tr>



<tr><td class="header" bgcolor="#B9C7C8" colspan="3" align="center">

<INPUT TYPE="submit" VALUE="Create my account" name="submit">

  </td>

</form>

</table>


<?php
include ("footer.php");
?>
